Provider Demographics
NPI:1750420303
Name:JONES, RUTH DIANE (DO)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:DIANE
Last Name:JONES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 S RICHARD ST
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-1743
Mailing Address - Country:US
Mailing Address - Phone:814-623-8414
Mailing Address - Fax:814-623-6668
Practice Address - Street 1:9528 LINCOLN HIGHWAY
Practice Address - Street 2:SUITE 1
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-3764
Practice Address - Country:US
Practice Address - Phone:814-510-3409
Practice Address - Fax:814-510-3410
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009365-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018649730001Medicaid
PA000416293OtherHIGHMARK BC BS
PA0018649730001Medicaid
PA000416293OtherHIGHMARK BC BS